The article you requested is

Asystole in ECT

J Clin Psychiatry 1997;58:550 [letter]

Letter to the Editor

Sir: In an excellent discussion of asystole in electroconvulsive therapy, Dr. McCall makes a number of useful suggestions to minimize the likelihood that asystole will occur. I would like to amplify his treatment recommendation of intravenous atropine injection. Without cardiac function during asystole, atropine administered through a peripheral vein will not reach the heart unless “pushed” by a 20- to 30-mL fluid bolus followed by elevation of the arm.